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Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO x SVR ... PAH • ↓ CO, ↑ SVR ... anaphylaxis, release syndrome ... uw_IMresidency #Shock #Differential
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... subclavian steal syndrome ... > fast or slow SVR ... other #Syncope #differential
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... High CO / Low SVR ... Low CO / High SVR ... Abdominal compartment syndrome ... Sophia_Hayes_MD #Shock #Differential
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Pipes Problem (↓ SVR ... cytokine release syndrome ... Shock #diagnosis #differential
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Classification and Differential ... High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Classification #Differential
Causes of SVC Syndrome - Differential Diagnosis Framework • Benign (15-40%): Thrombosis (aka catheter-associated), Goiter, Fibrosing
Causes of SVC Syndrome ... - Differential ... Medicine @SCVMCMed #SVC ... #Syndrome #Differential
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... PR elevation in aVR ... PR elevation in aVR ... ST elevation: Differential ... diagnosis #ekg #differential
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... Lead aVR can provide ... Differentiating VT from SVT ... EKG #ECG #Lead #AVR
Superior Vena Cava Syndrome on Physical Exam Prominent dilated collateral veins are seen bypassing the SVC obstruction #SVC
Superior Vena Cava Syndrome ... bypassing the SVC ... obstruction #SVC ... Superior #Vena #Cava #Syndrome
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 Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy > Increase SVR ... Inotropy, Decrease SVR
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